Wealth of reports we can access from different parts of the - - PowerPoint PPT Presentation

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Wealth of reports we can access from different parts of the - - PowerPoint PPT Presentation

Jan 12, 2023 147 likes •339 views

Wealth of reports we can access from different parts of the business We are often not sure how to access them, how to read them and how to use them effectively EAP reports Medical claim reports Employee

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  • Wealth of reports we can access from different parts of

the business

  • We are often not sure how to access them, how to read

them and how to use them effectively

  • EAP reports
  • Medical claim reports
  • Employee engagement surveys
  • Participation reports
  • HRA data
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Medical Trend contributing factors:

  • Aging populations
  • New technologies
  • Patient demand
  • Provider practice patterns
  • Shift from public sector
  • Change in burden of illness

*2019 Estimates from WTW, AON. 2018 estimates from Mercer Global Medical Trend Surveys

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  • Identify trends and cost drivers to provide insight into root

causes

  • Interpret findings and help clarify complex information
  • Work collaboratively to identify local and global issues and

solutions

  • Summarize local market data through
  • Find the tool to use that best meets your needs
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  • A number of our clients use our Global Medical Dashboard

Reports

  • Reports are produced annually and include country-specific

data sorted by:

  • Membership type
  • Benefit category
  • High claimants/large claims
  • Diagnostic chapter/subchapter
  • Provider network spending and related diagnoses
  • Reports provide insight through year-over-year

comparisons revealing root causes including: Incidence, Frequency of services, and Unit cost

  • Key features: web-based, interactive, tabular, drill-down

capability, embedded benchmark comparisons

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Identify and recommend relevant local and global wellbeing programs that address specific health issues, with the aim of helping members:

  • Primary prevention via Customised health lectures,

workplace health screenings including biometric testing,

  • nline health risk assessments.
  • Medical Case Management and Medical Second

Opinion service to identify treatment alternatives and support members before / during / after hospitalisation.

  • Programs to help members track and manage certain

conditions including Asthma, COPD, Depression, Diabetes, Hypertension, Maternity.

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Leverage the tools available to insurers to impact claim utilisation:

  • Tailored, cost-effective plan design
  • Strategic provider network design
  • Medical case management
  • Claims administration
  • Member service & support
  • Anti-fraud / waste / abuse programs
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Dia iagnosis Population Pla lan Management

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